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Bodily confusion: Lower differentiation of emotional and physiological states in student alcohol users 身体混乱:学生饮酒者的情绪和生理状态区分度较低
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.1111/adb.13364
Aleksandra M. Herman, Marek Wypych, Jarosław Michałowski, Artur Marchewka

Background

Alexithymia, difficulty in recognising and naming emotions, is common among people who use alcohol. There is also emerging evidence that people with alexithymia are unable to distinguish emotions from non-emotional physiological states. The project aimed to test if alcohol use is related to the way student drinkers experience emotions and physiological states in the body.

Methods

We employed a novel method to study bodily sensations related to emotions and physiological states in the context of alcohol use: the emBODY tool, which allowed participants to mark areas of the body in which they experience various emotions and physiological states.

Results

Students who showed a hazardous pattern of alcohol use (alcohol use disorders identification test [AUDIT] score ≥ 7, N = 91), overall, presented higher alexithymia levels and coloured larger areas for emotions and physiological states (showed less specificity) than those who show low-risk alcohol consumption (AUDIT ≤ 4, N = 90). Moreover, statistical classifiers distinguished feeling-specific maps less accurately for hazardous drinkers than low-risk drinkers [F(1,1998) = 441.16; p < 0.001], confirming that higher alcohol use is related to higher confusion of emotional and non-emotional bodily feelings.

Conclusions

Plausibly, this increased bodily confusion drives alcohol consumption: alcohol may serve as a means of dealing with undifferentiated changes in psychophysiological arousal accompanying emotional states.

情感障碍(Alexithymia),即难以识别和命名情绪,在酗酒者中很常见。还有新的证据表明,情感障碍患者无法区分情绪和非情绪的生理状态。该项目旨在测试饮酒是否与学生饮酒者体验情绪和身体生理状态的方式有关。
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引用次数: 0
Ameliorating effects of Acanthopanax koreanum extract and components on nicotine dependence and withdrawal symptoms 朝鲜刺五加提取物及其成分对尼古丁依赖和戒断症状的改善作用
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.1111/adb.13360
Hyun Jun Lee, Darlene Mae Ortiz, Leandro Val Sayson, Mikyung Kim, Jae Hoon Cheong, Hee Jin Kim

Tobacco smoking is a serious health problem in society. While smoking rates are declining, smoking remains a serious risk to national health. Currently, there are several medications available to aid in smoking cessation. However, these medications have the disadvantages of low success rates in smoking cessation and various side effects. Therefore, natural-based smoking cessation aids are being suggested as a good alternative due to their accessibility and minimal side effects. The roots and stems of Acanthopanax koreanum (AK) Nakai, a plant that is native to Jeju Island, South Korea, have traditionally been used as tonic and sedatives. Moreover, eleutheroside B and chlorogenic acid are the main components of AK stem extract. In the present study, we investigated the effect of 70% ethanol AK extract and its components on ameliorating nicotine dependence and withdrawal symptoms by using behavioural tests in mice. In addition, alterations in the dopaminergic and DRD1-EPAC-ERK-CREB pathways were observed using dopamine ELISA and western blotting using mouse brains. Our findings demonstrate that the AK extract and its components effectively mitigated the effects of nicotine treatment in behavioural tests. Furthermore, it normalized the dopamine concentration and the expression level of nicotine acetylcholine receptor α7. Additionally, it was observed that AK extract and its components led to the normalization of DRD1, ERK and CREB expression levels. These results indicate that AK extract exhibits effects in ameliorating nicotine dependence behaviour and alleviating withdrawal symptoms. Moreover, EB and CGA are considered potential marker components of AK extract.

吸烟是一个严重的社会健康问题。虽然吸烟率正在下降,但吸烟仍然严重危害国民健康。目前,有多种药物可以帮助戒烟。然而,这些药物存在戒烟成功率低和各种副作用的缺点。因此,人们建议将天然戒烟辅助剂作为一种很好的替代品,因为它们容易获得且副作用很小。Acanthopanax koreanum (AK) Nakai 是一种原产于韩国济州岛的植物,其根和茎历来被用作滋补品和镇静剂。此外,榄香烯甙 B 和绿原酸是 AK 茎提取物的主要成分。在本研究中,我们通过小鼠行为测试,研究了 70% 乙醇 AK 提取物及其成分对改善尼古丁依赖和戒断症状的作用。此外,我们还利用多巴胺酶联免疫吸附试验(ELISA)和小鼠脑部 Western 印迹法观察了多巴胺能和 DRD1-EPAC-ERK-CREB 通路的改变。我们的研究结果表明,AK 提取物及其成分能有效减轻尼古丁处理对行为测试的影响。此外,它还使多巴胺浓度和尼古丁乙酰胆碱受体α7的表达水平正常化。此外,还观察到 AK 提取物及其成分导致 DRD1、ERK 和 CREB 表达水平正常化。这些结果表明,AK 提取物具有改善尼古丁依赖行为和减轻戒断症状的作用。此外,EB和CGA被认为是AK提取物的潜在标记成分。
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引用次数: 0
Analysing the behaviour change of brain regions of methamphetamine abusers using electroencephalogram signals: Hope to design a decision support system 利用脑电图信号分析甲基苯丙胺滥用者脑区的行为变化:设计决策支持系统的希望
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.1111/adb.13362
Sepideh Zolfaghari, Yashar Sarbaz, Ali Reza Shafiee-Kandjani

Long-term use of methamphetamine (meth) causes cognitive and neuropsychological impairments. Analysing the impact of this substance on the human brain can aid prevention and treatment efforts. In this study, the electroencephalogram (EEG) signals of meth abusers in the abstinence period and healthy subjects were recorded during eyes-closed and eyes-opened states to distinguish the brain regions that meth can significantly influence. In addition, a decision support system (DSS) was introduced as a complementary method to recognize substance users accompanied by biochemical tests. According to these goals, the recorded EEG signals were pre-processed and decomposed into frequency bands using the discrete wavelet transform (DWT) method. For each frequency band, energy, KS entropy, Higuchi and Katz fractal dimensions of signals were calculated. Then, statistical analysis was applied to select features whose channels contain a p-value less than 0.05. These features between two groups were compared, and the location of channels containing more features was specified as discriminative brain areas. Due to evaluating the performance of features and distinguishing the two groups in each frequency band, features were fed into a k-nearest neighbour (KNN), support vector machine (SVM), multilayer perceptron neural networks (MLP) and linear discriminant analysis (LDA) classifiers. The results indicated that prolonged consumption of meth has a considerable impact on the brain areas responsible for working memory, motor function, attention, visual interpretation, and speech processing. Furthermore, the best classification accuracy, almost 95.8%, was attained in the gamma band during the eyes-closed state.

长期吸食甲基苯丙胺(冰毒)会导致认知和神经心理障碍。分析这种物质对人脑的影响有助于预防和治疗工作。本研究记录了处于戒断期的冰毒滥用者和健康受试者在闭眼和睁眼状态下的脑电图(EEG)信号,以区分冰毒对大脑的重要影响区域。此外,还引入了决策支持系统(DSS)作为辅助方法,通过生化测试来识别药物使用者。根据这些目标,我们对记录的脑电信号进行了预处理,并使用离散小波变换(DWT)方法将其分解为多个频段。计算每个频段信号的能量、KS 熵、Higuchi 分形维数和 Katz 分形维数。然后,通过统计分析,选出通道中 p 值小于 0.05 的特征。比较两组之间的这些特征,并将包含较多特征的通道位置指定为具有区分性的脑区。为了评估特征的性能和区分每个频段的两个组别,特征被输入到 k-近邻(KNN)、支持向量机(SVM)、多层感知器神经网络(MLP)和线性判别分析(LDA)分类器中。结果表明,长期吸食冰毒对负责工作记忆、运动功能、注意力、视觉解读和语言处理的大脑区域有相当大的影响。此外,闭眼状态下伽马波段的分类准确率最高,接近 95.8%。
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引用次数: 0
FIB-4 index is associated with mortality in critically ill patients with alcohol use disorder: Analysis from the MIMIC-IV database FIB-4指数与患有酒精使用障碍的重症患者的死亡率有关:来自 MIMIC-IV 数据库的分析
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2024-01-23 DOI: 10.1111/adb.13361
Yu Pan, Yan-huo Xia, Xiao-hua Zhang, Xi-xi Cai, Jing-ye Pan, Yi-hua Dong

Background

The relationship between fibrosis-4 (FIB-4) index and all-cause mortality in critically ill patients with alcohol use disorder (AUD) is unclear. The present study aimed to investigate the predictive ability of FIB-4 for all-cause mortality in critically ill AUD patients and the association between them.

Methods

A total of 2528 AUD patients were included using the Medical Information Mart for Intensive Care IV (MIMIC-IV) database. FIB-4 was calculated for each patient using the existing formula. The patients were equally divided into four groups based on the quartiles of FIB-4. Multivariate logistic regression and Cox proportional hazard model were used to evaluate the association of FIB-4 with in-hospital mortality, 28-day mortality and 1-year mortality. Kaplan–Meier curves were used to analyse the incidence of 28-day mortality among four groups.

Results

FIB-4 was positively associated with 28-day mortality of AUD patients with hazard ratio (HR) of 1.354 [95% confidence interval (CI) 1.192–1.538]. There were similar trends in the in-hospital mortality [odds ratio (OR): 1.440, 95% CI (1.239–1.674)] and 1-year mortality [HR: 1.325, 95% CI (1.178–1.490)].

Conclusion

Increased FIB-4 is associated with greater in-hospital mortality, 28-day mortality and 1-year mortality in critically ill AUD patients.

背景 酒精使用障碍(AUD)重症患者的纤维化-4(FIB-4)指数与全因死亡率之间的关系尚不清楚。本研究旨在探讨 FIB-4 对重症 AUD 患者全因死亡率的预测能力以及两者之间的关系。 方法 利用重症监护医学信息市场 IV(MIMIC-IV)数据库共纳入 2528 例 AUD 患者。使用现有公式计算每位患者的 FIB-4。根据 FIB-4 的四分位数将患者平均分为四组。采用多变量逻辑回归和 Cox 比例危险模型评估 FIB-4 与院内死亡率、28 天死亡率和 1 年死亡率的关系。采用 Kaplan-Meier 曲线分析四组 28 天死亡率的发生率。 结果 FIB-4 与 AUD 患者的 28 天死亡率呈正相关,危险比 (HR) 为 1.354 [95% 置信区间 (CI) 1.192-1.538]。院内死亡率[几率比(OR):1.440,95% 置信区间(1.239-1.674)]和 1 年死亡率[HR:1.325,95% 置信区间(1.178-1.490)]也呈类似趋势。 结论 FIB-4 的增加与 AUD 重症患者较高的院内死亡率、28 天死亡率和 1 年死亡率有关。
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引用次数: 0
Sex-specific negative affect-like behaviour and parabrachial nucleus activation induced by BNST stimulation in adult mice with adolescent alcohol history 对有青春期酗酒史的成年小鼠进行 BNST 刺激可诱发性别特异性负情感行为和胫旁核激活
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2024-01-23 DOI: 10.1111/adb.13366
Lucas Albrechet-Souza, Chelsea R. Kasten, Natalia B. Bertagna, Tiffany A. Wills

Adolescent alcohol use is a strong predictor for the subsequent development of alcohol use disorders later in life. Additionally, adolescence is a critical period for the onset of affective disorders, which can contribute to problematic drinking behaviours and relapse, particularly in females. Previous studies from our laboratory have shown that exposure to adolescent intermittent ethanol (AIE) vapour alters glutamatergic transmission in the bed nucleus of the stria terminalis (BNST) and, when combined with adult stress, elicits sex-specific changes in glutamatergic plasticity and negative affect-like behaviours in mice. Building on these findings, the current work investigated whether BNST stimulation could substitute for stress exposure to increase the latency to consume a palatable food in a novel context (hyponeophagia) and promote social avoidance in adult mice with AIE history. Given the dense connections between the BNST and the parabrachial nucleus (PBN), a region involved in mediating threat assessment and feeding behaviours, we hypothesized that increased negative affect-like behaviours would be associated with PBN activation. Our results revealed that the chemogenetic stimulation of the dorsolateral BNST induced hyponeophagia in females with AIE history, but not in female controls or males of either group. Social interaction remained unaffected in both sexes. Notably, this behavioural phenotype was associated with higher activation of calcitonin gene-related peptide and dynorphin cells in the PBN. These findings provide new insights into the neurobiological mechanisms underlying the development of negative affect in females and highlight the potential involvement of the BNST-PBN circuitry in regulating emotional responses to alcohol-related stimuli.

青春期饮酒是日后罹患饮酒障碍的一个重要预测因素。此外,青春期是情感障碍发病的关键时期,情感障碍会导致问题性饮酒行为和复酒,尤其是女性。我们实验室之前的研究表明,暴露于青春期间歇性乙醇(AIE)蒸汽会改变小鼠纹状体末端床核(BNST)的谷氨酸能传导,当与成人压力相结合时,会引起小鼠谷氨酸能可塑性和负性情感样行为的性别特异性变化。在这些发现的基础上,目前的研究工作探讨了刺激纹状体末端(BNST)是否能替代应激暴露,从而增加小鼠在新环境中食用适口食物的潜伏期(食欲减退),并促进有AIE病史的成年小鼠回避社会。鉴于BNST与胫骨旁核(PBN)之间的紧密联系,我们假设胫骨旁核的激活将导致负性情绪样行为的增加。我们的研究结果表明,对背外侧BNST的化学刺激会诱发有AIE病史的女性食欲减退,但不会诱发女性对照组或两组男性的食欲减退。两性的社交互动均未受到影响。值得注意的是,这种行为表型与降钙素基因相关肽和降钙素基因相关肽细胞在PBN中的活化程度较高有关。这些研究结果为女性负面情绪发展的神经生物学机制提供了新的视角,并强调了BNST-PBN回路可能参与调节对酒精相关刺激的情绪反应。
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引用次数: 0
Model-based and model-free mechanisms in methamphetamine use disorder 甲基苯丙胺使用障碍中基于模型和无模型的机制
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2023-12-21 DOI: 10.1111/adb.13356
Alex H. Robinson, Justin Mahlberg, Trevor T.-J. Chong, Antonio Verdejo-Garcia

People with methamphetamine use disorder (MUD) struggle to shift their behaviour from methamphetamine-orientated habits to goal-oriented choices. The model-based/model-free framework is well suited to understand this difficulty by unpacking the computational mechanisms that support experienced-based (model-free) and goal-directed (model-based) choices. We aimed to examine whether 1) participants with MUD differed from controls on behavioural proxies and/or computational mechanisms of model-based/model-free choices; 2) model-based/model-free decision-making correlated with MUD symptoms; and 3) model-based/model-free deficits improved over six weeks in the group with MUD. Participants with MUD and controls with similar age, IQ and socioeconomic status completed the Two-Step Task at treatment commencement (MUD n = 30, Controls n = 31) and six weeks later (MUD n = 23, Controls n = 26). We examined behavioural proxies of model-based/model-free decisions using mixed logistic regression, and their underlying mechanisms using computational modelling. At a behavioural level, participants with MUD were more likely to switch their choices following rewarded actions, although this pattern improved at follow up. At a computational level, groups were similar in their use of model-based mechanisms, but participants with MUD were less likely to apply model-free mechanisms and less likely to repeat rewarded actions. We did not find evidence that individual differences in model-based or model-free parameters were associated with greater severity of methamphetamine dependence, nor did we find that group differences in computational parameters changed between baseline and follow-up assessment. Decision-making challenges in people with MUD are likely related to difficulties in pursuing choices previously associated with positive outcomes.

甲基苯丙胺使用障碍(MUD)患者很难将自己的行为从以甲基苯丙胺为导向的习惯转变为以目标为导向的选择。基于模型/无模型的框架非常适合通过解读支持基于经验(无模型)和目标导向(基于模型)选择的计算机制来理解这一困难。我们的目的是研究:1)基于模型/无模型选择的行为代用指标和/或计算机制方面,MUD 参与者是否与对照组不同;2)基于模型/无模型决策是否与 MUD 症状相关;3)MUD 参与者的基于模型/无模型缺陷是否在六周内有所改善。患有 MUD 的参与者与年龄、智商和社会经济地位相似的对照组在治疗开始时(MUD n = 30,对照组 n = 31)和六周后(MUD n = 23,对照组 n = 26)完成了 "两步任务"。我们利用混合逻辑回归研究了基于模型/无模型决策的行为代用指标,并利用计算模型研究了其潜在机制。在行为层面上,MUD 参与者更有可能在采取奖励行动后改变选择,尽管这种模式在后续研究中有所改善。在计算层面,各组在使用基于模型的机制方面相似,但患有 MUD 的参与者不太可能使用无模型机制,也不太可能重复受奖励的行动。我们没有发现基于模型或无模型参数的个体差异与甲基苯丙胺依赖的严重程度有关,也没有发现计算参数的群体差异在基线和随访评估之间发生了变化。甲基苯丙胺依赖症患者在决策方面遇到的挑战可能与他们难以做出之前与积极结果相关的选择有关。
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引用次数: 0
Mesocorticolimbic function in cocaine polydrug users: A multimodal study of drug cue reactivity and cognitive regulation 可卡因多药使用者的中皮质边缘功能:对毒品线索反应性和认知调节的多模式研究
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2023-12-20 DOI: 10.1111/adb.13358
Stephanie G. Scala, Min Su Kang, Sylvia M. L. Cox, Pedro Rosa-Neto, Gassan Massarweh, Marco Leyton

Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug-related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non-dependent cocaine polydrug users and cocaine-naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue-induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine-related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets.

人们认为,药物成瘾是由于大脑皮层中叶对与毒品有关的线索产生了调节不良的反应。谷氨酸传递的改变,包括 5 型代谢谷氨酸受体(mGluR5s)的改变,可能会促进这些反应的发展和持续。然而,这些变化是何时产生的,mGluR5 和皮质中层的改变是否相关,这些都是未知数。为了进行研究,非可卡因多药依赖者和未使用可卡因的健康对照者在观看描述使用和未使用可卡因的活动的视频时,接受了[11C]ABP688正电子发射断层扫描(15名可卡因使用者和14名健康对照者)和功能磁共振成像扫描(15人/组)。在观看某些药物视频时,研究人员会指导参与者使用认知策略来降低渴求度。两组受试者都表现出了由药物线索诱发的皮质中脑边缘激活,而且在后半部分,可卡因多种药物使用者的激活程度大于健康对照组。在认知调节试验中,可卡因使用者的皮质反应有所减弱。与健康对照组相比,可卡因使用者的[11C]ABP688结合率没有变化,但事后分析发现,那些一生中使用可卡因次数达到或超过 75 次的可卡因使用者的结合率有所降低。最后,在可卡因使用者(n = 12)中,前额叶[11C]ABP688结合的个体差异与调节试验期间中脑和边缘区的激活有关。综上所述,这些初步研究结果表明:(i) 休闲型多药可卡因使用者的大脑过程偏向于可卡因相关线索;(ii) 重复使用可卡因会降低大脑皮层 mGluR5 的水平,从而削弱调节药物线索反应的能力。这些改变可能会增加成瘾的易感性,并确定早期干预目标。
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引用次数: 0
Vicarious defeat stress induces increased alcohol consumption in female mice: Role of neurokinin-1 receptor and interleukin-6 虚拟失败压力会诱导雌性小鼠增加饮酒:神经激肽-1受体和白细胞介素-6的作用
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2023-12-19 DOI: 10.1111/adb.13357
Ellie B. Decker Ramirez, Miranda E. Arnold, Jesse R. Schank

There is a high frequency of comorbidity of alcohol use disorder (AUD) and depression in human populations. We have studied this relationship in our lab using the social defeat stress (SDS) model, which results in both depression-like behaviours and increased alcohol consumption in male mice. However, standard SDS procedures are difficult to use in female mice due to a lack of territorial aggression. In the experiments presented here, we used vicarious defeat stress (VDS) to assess social withdrawal and alcohol consumption in female C57BL6/J mice. We also assessed the expression of interleukin-6 (IL6), which is a proinflammatory cytokine that is associated with depression in humans and sensitivity to SDS in mice. In these experiments, C57BL/6 female mice underwent 10 days of VDS where they witnessed the physical defeat of a male conspecific by an aggressive CD1 mouse. After the end of VDS, mice were either given access to alcohol or sacrificed for the measurement of IL6 expression. We found that VDS increased alcohol consumption and IL6 expression in the frontal cortex and hippocampus. Given that the neurokinin-1 receptor (NK1R) can mediate both stress-induced alcohol consumption and IL6 expression, we tested the ability of NK1R antagonism to reduce VDS-induced alcohol consumption and found that this treatment reduced alcohol intake in both VDS-exposed mice and in unstressed controls. The observed increase in alcohol consumption suggests that VDS is a model that can be utilized to study stress-induced alcohol consumption in female mice, and that this is sensitive to NK1R antagonism.

在人类群体中,酒精使用障碍(AUD)和抑郁症的并发率很高。我们实验室利用社会挫败应激(SDS)模型研究了这种关系,该模型会导致雄性小鼠出现类似抑郁症的行为并增加酒精消耗量。然而,由于雌性小鼠缺乏领地攻击性,标准的 SDS 程序很难用于雌性小鼠。在本文介绍的实验中,我们使用替代性失败压力(VDS)来评估雌性 C57BL6/J 小鼠的社会退缩和酒精消耗。我们还评估了白细胞介素-6(IL6)的表达,这是一种促炎细胞因子,在人类中与抑郁有关,在小鼠中则与对 SDS 的敏感性有关。在这些实验中,C57BL/6雌性小鼠经历了10天的VDS,它们目睹了一只具有攻击性的CD1小鼠在肉体上击败一只雄性同种小鼠。VDS结束后,小鼠要么可以饮酒,要么被处死以测定IL6的表达。我们发现,VDS 增加了小鼠的饮酒量以及额叶皮层和海马中 IL6 的表达。鉴于神经激肽-1受体(NK1R)可以介导应激诱导的酒精消耗和IL6表达,我们测试了NK1R拮抗剂减少VDS诱导的酒精消耗的能力,结果发现这种处理方法可以减少VDS暴露小鼠和非应激对照组的酒精摄入量。观察到的酒精摄入量增加表明,VDS 是一种可用于研究应激诱导的雌性小鼠酒精摄入量的模型,而且这种模型对 NK1R 拮抗很敏感。
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引用次数: 0
Polymorphisms in the A118G SNP of the OPRM1 gene produce different experiences of opioids: A human laboratory phenotype–genotype assessment OPRM1 基因 A118G SNP 的多态性会产生不同的阿片类药物体验:人类实验室表型-基因型评估
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2023-12-19 DOI: 10.1111/adb.13355
Kelly E. Dunn, Andrew S. Huhn, Patrick H. Finan, Ami Mange, Cecilia L. Bergeria, Brion S. Maher, Jill A. Rabinowitz, Eric C. Strain, Denis Antoine

Allelic variations in the A118G SNP of the OPRM1 gene change opioid signaling; however, evaluations of how allelic differences may influence opioid effects are lacking. This human laboratory paradigm examined whether the AA versus AG/GG genotypes determined opioid response profiles. Individuals with limited opioid exposure (N = 100) completed a five-day within-subject, double-blind, placebo-controlled, residential study. Participants were admitted (Day 1), received 4 mg hydromorphone (Day 2) and 0 mg, 2 mg and 8 mg hydromorphone in randomized order (Days 3–5) and completed self-reported visual analog scale (VAS) ratings and Likert scales, observed VAS, and physiological responses at baseline and for 6.5 h post-dose. Outcomes were analysed as peak/nadir effects over time as a function of genotype (available for N = 96 individuals; AG/GG = 13.5%, AA = 86.4%). Participants with AG/GG rated low and moderate doses of hydromorphone as significantly more positive (e.g., Good Effects VAS, coasting, drive, friendly, talkative, stimulation) with fewer negative effects (e.g., itchy skin, nausea, sleepiness), and were also observed as being more talkative and energetic relative to persons with AA. Persons with AG/GG were less physiologically reactive as determined by diastolic blood pressure and heart rate, but had more changes in core temperature compared with those with AA. Persons with AA also demonstrated more prototypic agonist effects across doses; persons with AG/GG showed limited response to 2 mg and 4 mg. Data suggest persons with AG/GG genotype experienced more pleasant and fewer unpleasant responses to hydromorphone relative to persons with AA. Future studies should replicate these laboratory findings in clinical populations to support a precision medicine approach to opioid prescribing.

OPRM1 基因 A118G SNP 的等位基因变异会改变阿片类药物的信号转导;然而,目前还缺乏对等位基因差异如何影响阿片类药物作用的评估。本人体实验室范例研究了 AA 与 AG/GG 基因型是否决定了阿片类药物的反应特征。阿片类药物暴露有限的个体(N = 100)完成了一项为期五天的受试者内、双盲、安慰剂对照、居住研究。参与者入院(第 1 天),按随机顺序接受 4 毫克氢吗啡酮(第 2 天)、0 毫克、2 毫克和 8 毫克氢吗啡酮(第 3-5 天),并完成自我报告的视觉模拟量表 (VAS) 评分和李克特量表、观察到的 VAS 以及基线和用药后 6.5 小时内的生理反应。结果按基因型随时间变化的峰值/最低值效应进行分析(N = 96 人;AG/GG = 13.5%,AA = 86.4%)。AG/GG 参与者对低剂量和中等剂量氢吗啡酮的评价明显更积极(例如,良好作用 VAS、平稳、驱动力、友好、健谈、刺激),负面作用(例如,皮肤瘙痒、恶心、嗜睡)更少,而且与 AA 患者相比,他们也更健谈和精力充沛。根据舒张压和心率的测定,AG/GG 患者的生理反应较小,但与 AA 患者相比,核心体温的变化更大。AA 基因携带者在不同剂量下也表现出更多的原型激动剂效应;AG/GG 基因携带者对 2 毫克和 4 毫克的反应有限。数据表明,与 AA 型患者相比,AG/GG 基因型患者对氢吗啡酮产生的愉快反应更多,不愉快反应更少。未来的研究应在临床人群中复制这些实验室发现,以支持阿片类药物处方的精准医学方法。
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引用次数: 0
A systematic review of oculomotor deficits associated with acute and chronic cannabis use 与急性和慢性吸食大麻有关的眼球运动障碍的系统性审查
IF 3.4 3区 医学 Q1 Medicine Pub Date : 2023-12-19 DOI: 10.1111/adb.13359
Brooke Manning, Luke A. Downey, Andrea Narayan, Amie C. Hayley

Driving is a critical everyday task necessitating the rapid and seamless integration of dynamic visually derived information to guide neurobehaviour. Biological markers are frequently employed to detect Δ9-tetrahydrocannabinol (THC) consumption among drivers during roadside tests, despite not necessarily indicating impairment. Characterising THC-specific alterations to oculomotor behaviour may offer a more sensitive measure for indexing drug-related impairment, necessitating discrimination between acute THC effects, chronic use and potential tolerance effects. The present review aims to synthesise current evidence on the acute and chronic effects of THC on driving-relevant oculomotor behaviour. The review was prospectively registered (10.17605/OSF.IO/A4H9W), and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines informed reporting standards. Overall, 20 included articles comprising 12 experimental acute dosing trials, 5 cross-sectional chronic use studies and 3 roadside epidemiological studies examined the effects of cannabis/THC on oculomotor parameters including saccadic activity gaze behaviour, nystagmus, smooth pursuit and eyelid/blink characteristics. Acute THC consumption selectively impacts oculomotor control, notably increasing saccadic latency and inaccuracy and impairing inhibitory control. Chronic cannabis users, especially those with early age of use onset, display enduring oculomotor deficits that affect visual scanning efficiency. The presence of eyelid tremors appears to be a reliable indicator of cannabis consumption while remaining distinct from direct impairment associated with visual attention and motor control. Cannabis selectively influences oculomotor activity relevant to driving, highlighting the role of cannabinoid systems in these processes. Defining cannabis/THC-specific changes in oculomotor control may enhance the precision of roadside impairment assessments and vehicle safety systems to detect drug-related impairment and assess driving fitness.

驾驶是一项重要的日常任务,需要快速、无缝地整合动态视觉信息,以指导神经行为。在路边测试中,经常使用生物标记来检测驾驶员是否服用了Δ9-四氢大麻酚(THC),尽管这并不一定表示驾驶能力受损。对四氢大麻酚对眼球运动行为的特异性改变进行描述,可能会提供一种更灵敏的测量方法,以反映与药物有关的损伤,这就需要区分四氢大麻酚的急性效应、慢性使用和潜在的耐受效应。本综述旨在综合 THC 对驾驶相关眼球运动行为的急性和慢性影响的现有证据。本综述进行了前瞻性注册(10.17605/OSF.IO/A4H9W),并根据系统综述和荟萃分析首选报告项目(PRISMA)指南制定了报告标准。总体而言,由 12 项急性剂量实验、5 项横断面慢性使用研究和 3 项路边流行病学研究组成的 20 篇收录文章研究了大麻/四氢大麻酚对眼球运动参数的影响,包括眼球回视活动、眼球震颤、平滑追视和眼睑/眨眼特征。急性吸食四氢大麻酚会选择性地影响眼球运动控制,特别是增加眼球回视的延迟和不准确性,并损害抑制控制。长期吸食大麻者,尤其是开始吸食大麻年龄较早的人,会表现出持久的眼球运动障碍,影响视觉扫描效率。眼睑震颤似乎是吸食大麻的一个可靠指标,同时又有别于与视觉注意力和运动控制相关的直接障碍。大麻选择性地影响与驾驶相关的眼球运动活动,突出了大麻素系统在这些过程中的作用。定义大麻/四氢大麻酚在眼球运动控制方面的特异性变化可提高路边损伤评估和车辆安全系统检测药物相关损伤和评估驾驶能力的精确度。
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Addiction Biology
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